Neonatal Nurse Practitioner Practice Exam

What is the main focus of close monitoring during the use of non-invasive respiratory support?

1. Breath rates

2. Oxygen saturation levels

3. Abdominal distention

4. Blood pressure

The correct answer is: Abdominal distention

The main focus of close monitoring during the use of non-invasive respiratory support is oxygen saturation levels. Monitoring oxygen saturation is critical because it provides direct information about the patient's oxygen delivery and respiratory function. Adequate oxygenation is essential in neonatal care, as infants, particularly preterm ones, are at high risk for hypoxia, especially when they are experiencing respiratory distress or when non-invasive respiratory support is initiated. While breath rates, abdominal distention, and blood pressure are also important parameters to consider in the context of patient stability and overall health, they are secondary to the immediate assessment of oxygen saturation levels during respiratory support. Oxygen saturation directly reflects the efficacy of the respiratory support being provided and helps guide any necessary interventions, such as increasing support or addressing underlying respiratory issues. This close monitoring ultimately aims to ensure that the infant maintains adequate oxygen levels to prevent complications related to hypoxia.